1.An Epidemiologic Investigation of Typhoid Fever Outbreak in 0hchun Middle and High Schools Located in Young-il Gun Kyungpook Province.
Jung Han PARK ; Ju Young LEE ; Do Young LEE
Korean Journal of Epidemiology 1995;17(1):94-104
An epidemiologic investigation was conducted to identify the source of infection and the mode of transmission of typhoid fever outbreak occurred in Ohchun middle and high schools located in Young il Gun, Kyungpook Province from May 21 to Jun 4, 1994. Four out of 13 hospitalized students in three general hospitals in Pohang City were culture positive typhoid fever (Salmonella typhi Group D). Review of the in and outpatient logbooks of the three general hospitals in Pohang City, county health center and local clinics in the vicinity of the Ohchun middle and high schools suggested that the outbreak was confined to the schools. Drinking water source of the schools was two underground water pumps that had no treatment facilities; one in northern end and the other in southern end of the main school building. However, the southern water pump was closed on April 28, 1994 because a recent test for the water revealed E-coli suggesting a possible fecal contamination. Two hundred twenty students stated that they had experienced symptoms related to typhoid fever since April l, 1994 in a self administered questionaire survey of all of the 2, 226 students. Personal interviews with these 220 students were performed to confirm the clinical history together with a rectal swab culture for typhoid fever and Widal test. A total of 39 patients were detected; 15 confirmed cases (culture-positive) and 24 suspected cases (symptom positive with equal to or greater than 1:160 titer of Salmonella O-antibody or 1:320 titer of H-antibody titer in Widal test). The epidemic curve showed a unimodal curve with a peak on the second week(17 May, 1994) and tailed down to the 5th week (22 28 May, 1994). The overall incidence rate of typhoid fever was 1.8 per 100 students; 1.5 (1.6 for male, 1.5 for female) in the middle school and 2. 4 (6. 2 for male, 0. 4 for female) in the high school. When contrasted with the students who did not drink water at all in the school, the relative risks of incidence rate of typhoid fever for the students who drank the underground water of the school, both underground water and water brought from home, or water brought from home only were 55.5, 19.0, and 3.0 respectively. Three classes which had especially high incidence rates of typhoid fever were located in the southern part of the main school building, where the contaminated underground water pump is located. These findings suggested that the source of infection was the contaminated underground water of the school. Both of the two underground water pumps were closed permanently and the public running water was supplied to the schools.
Drinking Water
;
Groundwater
;
Gyeongsangbuk-do*
;
Hospitals, General
;
Humans
;
Incidence
;
Male
;
Outpatients
;
Running
;
Salmonella
;
Typhoid Fever*
;
Water
2.Risk factors for lower urinary tract injuries in patients with traumatic pelvic fractures.
Do Yeoun CHOI ; Hae Young PARK
Korean Journal of Urology 1991;32(1):94-99
For identification of the risk factors for lower urinary tract injuries in patients with pelvic fractures, we reviewed the records of 332 patients with pelvic fractures and 60 patients with urethral or bladder ruptures not associated with pelvic fractures seen at our hospital during recent 5 years. The incidence of lower urinary tract injuries in patients with pelvic fractures was 9.9 per cent (urethra 57.6 per cent, bladder 36.4 per cent. and both 6.0 per cent).Of the 181 simple rami fractures 21 (11.6 percent) had lower urinary tract injuries. Of the 90 rami fractures combining other fractures 11 (12.2 per cent} had lower urinary tract injuries, especially 5 (50.0 per cent) of the 10 combining symphysis pubis diastasis. Of the 14 bladder ruptures 13 had gross hematuria, and of the 21 urethral ruptures all had blood at urethral meatus. For evaluation of significance of hematuria as a indicator for bladder ruptures, we reviewed 257 pelvic fractures without urethral ruptures and upper tract injuries. While of the 25 cases with gross hematuria 13 (52.0 percent) had bladder ruptures, of the 76 cases with only microscopic hematuria 1 case had bladder rupture. We conclude that the high risk factors for lower urinary tract injuries in patients with pelvic fractures are both rami fracture, dispacement of hemipelvis, and symphysis pubis diastasis. Therefore prompt diagnostic procedures for urethral and bladder ruptures must be performed in those cases, especially when combined with gross hematuria or blood at urethral meatus.
Hematuria
;
Humans
;
Incidence
;
Pubic Symphysis Diastasis
;
Risk Factors*
;
Rupture
;
Urinary Bladder
;
Urinary Tract*
3.The Renewal of Cognizance Criteria for Work Compensated Disease in Spondylolisthesis.
Joon CHO ; Do Heum YOON ; Young Gou PARK
Journal of Korean Neurosurgical Society 2000;29(12):1600-1605
No abstract available.
Spondylolisthesis*
4.Safety of intravenous thrombolysis in embolic stroke by infective endocarditis
Jin-Man Jung ; Moon Ho Park ; Do-Young Kwon
Neurology Asia 2013;18(2):209-211
Ischemic stroke is a serious neurological complication of infective endocarditis. Intravenous tissue
plasminogen activator (t-PA), which has only been approved for treatment of hyperacute stroke, has
been excluded as an ischemic stroke treatment due to infective endocarditis according to current expert
consensus guidelines. Here, we describe a case of a hyperacute stroke patient treated with intravenous
t-PA, who was later diagnosed with infective endocarditis.
5.A case of intracranial aneurysm and subarachnoid hemorrhage with tuberculous meningitis
Jee-Hoon Roh ; Do Young Kwon ; Moon Ho Park
Neurology Asia 2011;16(2):157-161
A global increase in the incidence of tuberculosis has prompted the need for earlier diagnosis,
treatment, and isolation of the disease. In tuberculosis, concomitant tuberculous meningitis and vascular
complications such as intracranial aneurysms and subarachnoid hemorrhage are very rare. Because
of the poor prognosis of tuberculous meningitis as well as intracranial aneurysm and subarachnoid
hemorrhage, early diagnosis and management are crucial. We present the case of a 76-year-old woman
who had two intracranial aneurysms complicated by subarachnoid hemorrhage, who had concomitant
tuberculous meningitis. She remained well with medical management.
6.A Clinical Study of the Patella Fracture
Jung Soo PARK ; In Heon PARK ; Dong Heon KIM ; Myung Ryool PARK ; Do Young NA
The Journal of the Korean Orthopaedic Association 1988;23(4):983-990
Vertical and marginal fractures of the patella are uncommon injuries compared with other types of patellar fracture. It's possible that they are more common than supposed, but often remain undiagnosed as acute injuries. Vertical and marginal fractures often results in less acute disability than stellate or transverse fracture and the routine radiographs are often unhelpful. Failure to diagnose acute vertical and marginal fractures of the patella, especially when the fragments are displaced, may result in prolonged disability of the knee and possible development of degenarative changes in the patello-femoral joint later. Twelve patients of the vertical and the marginal patellar fractures treated at St. Mary's Hospital from Feb. 1982 to Dec. 1987 were analyzed in clinical and radiological aspect. The results obtained from this study were as followings. 1. Vertical and marginal fractures had 15.4% of injury rate in all patellar fractures. 2. The fracture and its displacement were always present on the tangential view of the patella. 3. The mechanism of the fracture was s direct blow to the patella in which the affected knee was flexed. 4. The location of the fracture line was related to the degree of the flexed knee at the time of fracture. 5. Large separated fragments of the patella should be accurately reduced with rigid fixation in the rationale of the intraarticular fracture.
Clinical Study
;
Humans
;
Intra-Articular Fractures
;
Joints
;
Knee
;
Patella
7.Diffuse Pigmented Villonodular Synovitis of the Hip Joint
In Heon PARK ; Dong Heon KIM ; Myung Ryool PARK ; Do Young NA ; Shin Kwang KANG
The Journal of the Korean Orthopaedic Association 1988;23(4):1212-1216
In 1941, Jaffe and coworkers studied a lesion with histologic appearance of fibrous stroma, pigmented deposition and histiocytic infiltration as well as giant cell, for which they named pigmented villonodullar synovitis, bursitis and tenosynovitis. Thereafter many authors have disscussed etiology, clinical and radiological features, pathology and treatment regarding the disease. Recently we experienced a case of pigmented villonodular synovitis involving an hip joint which was treated by synovectomy and total hip replacement with good result.
Arthroplasty, Replacement, Hip
;
Bursitis
;
Giant Cells
;
Hip Joint
;
Hip
;
Pathology
;
Synovitis
;
Synovitis, Pigmented Villonodular
;
Tenosynovitis
8.Prognostic Factors in Neurologic Deficit after Thoracic and Lumbar Spine Fracture
Young Gi HONG ; Keon PARK ; Jae Do KIM ; Jeong HWAN ; Jeong Ho PARK
The Journal of the Korean Orthopaedic Association 1996;31(4):688-694
The thoracic and lumbar spine fractures were usually combined with neurological deficit. But the prognostic factors in degree of neurological damage and process of the recovery are controversial. The purpose of this study is to evaluate the factors affected neurological injury and the recovery. The 31 cases who had been performed surgical interventions due to traumatic thoracic or lumbar spine fractures with the neurological deficits were studied according to the radiographic findings of the spinal columns and neurological changes of the injured cord and/or the roots. The duration of mean follow-up was 32.6 months, and all cases were evaluated by motor index score and Frankel grade. Total cases were divided into complete paralytic (N=8) and partial paralytic(N=23) group. In incomplete paraplegia group, the neurological recovery rate was better than complete group(P < 0.001) and neurological recovery period was shorter than complete group (P=0.005). The neurologic deficits according to the Frankel grade were higher in Chance fracture, flexion-distraction and translation (complete paraplegia: 4/7 cases, 57.1%) than unstable bursting fracture (complete paraplegia: 4/24 cases, 16.7%)(P=0.031). The recovery rate of Chance fracture, flexion-distraction and translation were worse than unstable bursting fracture (0.001). The fracture which occurred in T5-11 showed higher incidence of complete paraplegia(75%) compared with that of the T12-L1(30.8%) & L2-4(7.1%)(p=0.021). The neurological recovery in motor index score in L2-4 was higher than T5-11 or T12-L1(P=0.0017). There was no correlation in kyphotic deformity and anterior body height loss between complete and incomplete paraplegia groups. But the A-P diameter of compromised neural canal showed significant difference between complete and incomplete paraplegia group(P=0.027)
Body Height
;
Congenital Abnormalities
;
Follow-Up Studies
;
Incidence
;
Neural Tube
;
Neurologic Manifestations
;
Paraplegia
;
Spine
9.Teat Shock Response Ingibits IFN-gamma Plus LPS - Induced NO Synthase Expression in Murine Peritoneal Macrophages.
Young Hee JIN ; Young Chul PARK ; Kwang Il KANG ; Ho Sung KANG ; Han Do KIM
Korean Journal of Immunology 1998;20(3):263-268
No abstract available.
Macrophages, Peritoneal*
;
Nitric Oxide
;
Nitric Oxide Synthase*
;
Shock*
;
Tumor Necrosis Factor-alpha
10.The Relation between Stress of Clinical Practice and Burnout among Nursing Students: The Mediation Effect of Spiritual Well-being.
Do Young LEE ; Jin Kyoung PARK ; Mi Young CHOI
Journal of Korean Academic Society of Nursing Education 2017;23(3):300-308
PURPOSE: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. METHODS: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. RESULTS: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. CONCLUSION: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.
Burnout, Professional
;
Chungcheongnam-do
;
Gyeonggi-do
;
Humans
;
Negotiating*
;
Nursing*
;
Spirituality
;
Stress, Psychological
;
Students, Nursing*